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RENAL CELL CARCINOMA METASTASIS TO THE SINONASAL CAVITY: CASE REPORT
Acta Clinica Croatica
|September 30, 2015
Summary
Renal cell carcinoma (RCC) rarely metastasizes to the head and neck. Early suspicion and surgical removal of metastatic RCC in this region offer the best chance for survival.
Area of Science:
- Oncology
- Head and Neck Surgery
- Medical Case Reports
Background:
- Renal cell carcinoma (RCC) is a significant malignancy, accounting for 3% of adult cancers.
- Metastatic spread is common, with head and neck involvement occurring in 15-30% of cases.
- Survival rates decrease dramatically with multiorgan metastases.
Observation:
- A rare case of a female patient with metastatic renal cell carcinoma to the paranasal sinuses is presented.
- The patient underwent surgical tumor removal at Zadar General Hospital.
- Despite treatment, the patient succumbed to multiorgan failure within a year.
Findings:
- Metastases of renal cell carcinoma to the head and neck are uncommon but should be considered in differential diagnoses.
- Surgical excision is the primary treatment modality for localized metastatic disease.
- Prognosis is poor with advanced or unresectable metastatic RCC.
Implications:
- Increased awareness of rare metastatic sites like the paranasal sinuses is crucial for timely diagnosis.
- Prompt surgical intervention can improve long-term survival for select patients.
- Multidisciplinary approaches including radiotherapy, immunotherapy, and chemotherapy are vital for unresectable cases.

